This form has 3 fields for customers to input data. It is a good form to send to your customers after they have received your product or service.
Field #1. Where did you hear about me?
A field with selections of social media platforms.
Field #2. How would you rate your order?
A field with a series of stars customers can select to rate your service.
Field #3. Your review:
A field for customers to provide you feedback.